Organization
5D COMMUNITY GROUP LLC
Active
Organization
5D COMMUNITY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C ROSS (OWNER)
(305) 303-2240
Entity
Organization
Contact information
Practice address
7500 SW 25TH SUITE 114, MIAM, FL 33122
(305) 593-8935
Mailing address
7500 SW 25TH SUITE 114, MIAM, FL 33122
(305) 303-2240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/23/2020
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